SAPS EMPLOYEE HEALTH AND WELLNESS (EHW)

PORTFOLIO COMMITTEE ON

POLICE

17 February 2016 1

PRESENTATION: EHW RISK FACTORS FACING POLICE OFFICERS

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TABLE OF CONTENTS 1. Objectives 2. 1. Vision & Mission 3. 2. EHW Approach 4. 3. EHW Services recipients 5. 4. EHW Focus Areas 6. 5. EHW Risks Factors

5.1. Health Risks 5.2. Lifestyle Diseases 5.3. Personal/ Private Matters 5.4. Operational Risks Factors 5.5. Occupational exposure 5.6. External Risk Factors 6. EHW Interventions

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EHW IN SAPS � KEY DEPARTMENTAL OBJECTIVE

� To ensure a healthy and productive workforce through development

ad implementation of health and wellness programmes, strategies and interventions.

� � EHW VISION:

� Healthy, dedicated, responsive and productive SAPS members. � � MISSION:

� To build and maintain a healthy workforce by mainstreaming EHW

activities and plans within SAPS core activities in order to enhance productivity and excellent service delivery for the benefit of employees and their immediate families.

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EHW FOCUS AREA – SERVING A HUMAN IN TOTALITY

Human Being

Emotional

Physical

Psycho-Social

Financial

Intellectual

Occupational

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EHW FOCUS AREAS

1. HIV/AIDS and TB Management 2. Health and Productivity Management 3. SHERQ Management 4. Wellness Management

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HIV/AIDS and TB Management 1. To mitigate the impact of HIV&AIDS

epidemic on the individual employees and their families

2. To address social and structural drivers of HIV/ STI &TB to reduce the impact

3. Preventing new infections 4. Sustaining health and wellness of those

already infected and protecting their human rights

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HEALTH & PRODUCTIVITY 1. Occupational health education and

promotion 2. Raising awareness on Mental health

issues prevalent within SAPS in order to promote and maintain the general health of employees

3. Promoting management of chronic diseases and ill health retirements

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SHERQ MANAGEMENT 1. Promotion of Occupational Health and

Safety 2. Collaborative approach to managing OHP

programme between employees and management

3. Information, Education & Communication on potential workplace risks and hazards and to develop preventative strategies against identified risks and hazards

4. Training of employees and management on health promotion and safe workspaces

5. Promoting a friendly work environment for employees with Disabilities

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WELLNESS MANAGEMENT 1. To promote individual physical wellness

2. Promote Psych-Social Wellness of

individuals and teams

3. To promote organizational wellness

4. To work towards striking a work life balance

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EHW RISK FACTORS FACING POLICE

1. Health Risks and Wellness Matters a) Mental Health Issues b) HIV c) Suicides d) Homicides and Femicides

2. Lifestyle Diseases 3. Personal / Private Matters 4. Operational Risk Factors 5. Occupational Exposure 6. External Risk Factors

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HEALTH RISKS & WELLNESS MATTERS

1, MENTAL HEALTH ISSUES Five most recurring (year on year) mental health challenges for SAPS Act members in order of prevalence

� Depression � Post-Traumatic Stress Disorder � Stress Disorders � Substance Abuse � Attempted Suicides

� 1.1. 19 097 cases received for Psychiatric conditions 1.2. 89% of the treated/ diagnosed cases are of active in service members have depression 1.3. 22% are suffering from PTSD 1.4. 5% with substance abuse, not much different from the 2013/2014 financial year. 1.5. Free State reported highest incidence of psychiatric conditions @ 14%, followed by KwaZulu-Natal @13% and the Northern Cape @ 12%.

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HEALTH RISKS AND WELLNESS MATTERS

2. HIV 2.1. Total number enrolled on the POLMED HIV programme for 2014/2015 is 27 246, (Females 14 799 and 12 447 Males). 2.2. 88% enrolled are on antiretroviral treatment (ART); 10% are too early to treat and 2% defaulters 2.3. 69.72% of enrollees are principal (main) members 2.4. Highest affected age group is between 34 - 44 years, a slight increase in age from the 2013/2014 financial year which ranged between 25- 35 age group.

2.5. KwaZulu-Natal; Gauteng and Eastern Cape are provinces with highest number of programme participants.

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HEALTH RISKS AND WELLNESS MATTERS 3. SUICIDES 3.1. Suicide trends are for the whole SAPS establishment. It is derived from provinces and reported through SAPS EHW. 3.2. SAPS group most susceptible to suicide are between 30- 34 years old with 30 claims from POLMED report. There is a slight decrease in the suicide cases within the 3 year period.

3.3. Most common causes of suicides:

a) Relationship Challenges (Private and workplace relationships) b) Finances c) Disciplinary Issues in the workplace d) Psychiatric conditions e) Substance Abuse

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HEALTH RISKS AND WELLNESS MATTERS 4. HOMICIDES AND FEMICIDES Definition: SAPS members attacking, killing their intimate partners / families, colleagues, spouses partners and or children) 4.1. 18 cases of members recorded for homicides 14 cases of suicide attempts were recorded

4.2. Causes:

a) Relationship Challenges (at work and in private life) b) Finances c) Mood Disorders d) Substance Abuse e) Sexual harassment 15

LIFESTYLE DISEASES

1. High Blood Pressure 2. Diabetes 3. Hypertension 4. High Cholesterol 5. Obesity 6. Substance Abuse

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PERSONAL / PRIVATE MATTERS

1. Strained relations private and workplace 2. Finances (over indebtedness) 3. Parenting issues (Custody) 4. Peer pressure (Cst & WO) 5. Physical fitness (Obesity) 6. Divorce/ separation / legal matters 7. Religion/ cultural issues 8. Domestic violence

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OPERATIONAL RISK FACTORS

1. Violent and aggressive nature of crime 2. Continuous exposure to traumatic events and scenes 3. Unpredictability of the nature of work to be handled 4. Witnessing colleagues being killed or attacked- high levels of anxiety and PTSD. 5. Challenges of regulating emotions (confusion: victim turn perpetrator) 6. Limited recovery time for employees leading to compassion fatigue

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OPERATIONAL RISK FACTORS (cont…)

7. Fear of retaliation by criminals when executing duties 8. Fear of attacks on self and family by local criminals 9. Fear of being killed 10. Personal safety at risk on a daily basis 11. Motor vehicle accidents leading to incapacity or even death 12. HR matters related to pay progressions, promotions, transfers, discipline 13. Taking decisions under pressure, sometimes compromising personal safety 14. Absenteeism

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OCCUPATIONAL EXPOSURE

1. Occupational exposure to hazardous material (FSL – laboratories, divers, pilots etc.)

2. Exposure to occupational diseases and injuries (Ports of Entries, Crime scene experts, analysts)

3. Exposure to gruesome crime scene (Crime scene experts) 4. Poor infection control mechanism (external deployments, divers, K9)

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EXTERNAL RISK FACTORS 1. Negative media coverage of police activities 2. Violent nature of Service delivery protests 3. Public Perceptions on the how law should be enforced (damned if you do and damned if you don’t) 4. Public pressure when executing duties (perceived police heavy handedness) 5. Confusion on how to react to criminals (use of force) 6. Criminal justice slow on finalising cases leading to victimisation and killing of investigators

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EHW INTERVENTIONS � Targeted programmes and interventions � EHW services are directed to individual,

groups, teams, families and to the organization.

� EHW programmes are offered through an

integrated multi- disciplinary approach by psychologists, chaplains, social workers and occupational health practitioners.

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MENTAL HEALTH

EHW Programme

Purpose EHW Section

1. Choose Life (Suicide Prevention)

• Preventing suicide through awareness; increase skill development of SAPS employees. It has seven modules all focus on dealing aspects surrounding Suicides within the organization.

Psychological Services

2. Anger Management

• Focus on equipping members with Early Warning Signs of anger and how to manage these effectively

Integrated Programme

3. Mental Health Programme

• Designed to equip members with information, skills and coping mechanisms related to mental health challenges like Post Traumatic Stress Disorder, Anxiety, Depression as recurring themes that are affecting members productivity according to reports from Health Risk Manager, POLMED and EHW members

Psychological Services

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MENTAL HEALTH EHW Programme

Aim of Programme EHW Section

4. Emotion Competence

• It is a basis of dealing with stress trauma and negative life events. It entails emotion regulation and management as well as understanding one’s own emotions and those of others

Psychological Services

5. Multiple Stressor

• Focussing on providing members with understanding of mental health challenges that they could be possibly exposed to on a day to day basis while also increasing coping skills (trauma and stress) and adapting well in the face of adversity. Formal debriefing is counterproductive for high risk units as they are provided with the platform to ventilate in order to down manage PTSD symptoms

Psychological Services

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MENTAL HEALTH EHW Programme

Aim of Programme EHW Section

6. Initial Debriefing

• This programme is offered directly after the traumatic incidents for commanders to understand member’s productivity challenges and offer psychological first aid before, during and after the incident.

Integrated Services

7. Stress Management

• Equip members with information related to early identification of stress related symptoms, management of stress and coping strategies

Integrated Services

8. Substance Dependency

• Equip members with facts, fiction and myths surrounding Substance Dependency, physical, psychological, social and emotional impact of dependency while providing resources available to deal with this challenge

Social Work Services

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MORAL REGENERATION EHW Programme Aim of Programme EHW

Section 1. Ethical

Awareness • Designed to raise awareness and instil

organisational values, principles and ethical behaviour that appeals to the conscience of members when faced with situations that predisposes them to unethical behaviour and corrupt activities

Spiritual Services

2. Values • Focusses on synergizing personal values with organisational values in order to fit and proper positioning of members within the prevailing organizational culture

Psychological Services

3. Reconciliation, Healing and Cleansing

• Aimed at promoting a reconciliatory spirit between employees from different cultural and racial groups

Spiritual Services

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RELATIONSHIP BUILDING EHW Programme Aim of Programme EHW

Section 1. Relationship

Enhancement • Equipping members with building and

maintaining healthy relationships in their private lives and in the workplace. Relationship has been identified as one leading contributor towards suicide, femicides and familicides

Spiritual Services

2. Colleague Sensitivity

• Empower members with skills and competencies to be able to understand and position themselves better, how to communicate effectively while being conscious of their colleagues needs and challenges

Social Work Services

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DOMESTIC VIOLENCE EHW Programme Aim of Programme EHW

Section 1. Domestic

Violence • Raising awareness on what constitutes

domestic violence and its impact on an individual person’s functioning

Social Work Services

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DIVERSITY MANAGEMENT AND EMPOWERMENT EHW Programme Aim of Programme EHW

Section 1. Self-

Empowerment • Improving employees functioning and to

prevent the development of psychosocial problems

Social Work Services

2. Pre- Retirement Programme

• Assisting members to understand the process towards retirement in order for them to reach their retirement destination comfortably equipped financially and psycho- socially

Social Work Services

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HIV/AIDS, TB & COMMUNICABLE DISEASE MANAGEMENT EHW Programme Aim of Programme EHW

Section 1. HIV/AIDS

PROGRAMME • To provide information and educational

programmes aimed at addressing stigma and discrimination as a result of HIV in the workplace; facilitating preventative and testing/screening services; provision of care and support services to employees affected and infected by HIV&AIDS and monitoring and evaluating trends and reporting to relevant stakeholders.

Quality of Work Life

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DISABILITY MANAGEMENT EHW Programme Aim of Programme EHW

Section 1. Disability

Management • Promoting disability mainstreaming, culture of

human right and justice for Persons with disabilities; enhancing productivity and performance for Employees with Disabilities (EWD); ensuring data integrity in reporting the number of EWD as per Employment Equity Act for the department and provision of care and support to EWD.

Quality of Work Life

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OCCUPATIONAL HEALTH MANAGEMENT EHW Programme Aim of Programme EHW

Section 1. Medical

Surveillance • Focussing on Pre-placement , pre-

employment, periodicals and annual medicals Quality of Work Life

2. Medical Administration

• Focusses on raising awareness on Occupational Injuries, trend analysis, interventions, travel medicines and preventative vaccination programmes

Quality of Work Life

3. Health Promotion

• Health awareness, monitoring and maintenance

Quality of Work Life

4. Ergonomics • Hazard identification, health risk assessment, incapacity leave, trend analysis and designing interventions

Quality of Work Life

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HEALTH AND LIFESTYLE MANAGEMENT EHW Programme Aim of Programme EHW

Section 1. Healthy

Lifestyles • Promotion of Healthy Lifestyle through

nutrition, fitness and emotional competence HRD & EHW

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FINANCIAL MANAGEMENT EHW Programme Aim of Programme EHW

Section 1. Managing your

Finances • Empowering members with Basic financial

management skills in order to avoid garnishee orders and other financial challenges

Social Work Services

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PHYSICAL FITNESS EHW Programme Aim of Programme EHW

Section Healthy Lifestyle Workshop

• Promoting a healthy mind in a healthy body • Mitigating Lifestyle Diseases

EHW & HRD

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EHW REACTIVE PROGRAMME

Individual

Psychometric Assessment

Entry level selections

Specialized selections

Assessment Centers

Fitness Assessment

Counselling and Therapy Services

Debriefing services

Wellness screening

Hospital visits

Workplace and Occupational health

assessments

Groups

HIV/AIDS Support groups

Support group for PWD

Debriefing

Funeral Services

Organization

Organizational Diagnosis

Climate Surveys

Organizational Health Profile

Organizational Health Risk

Register

Management Report on Health

and Wellness matters

Family

Bereavement Services

Debriefing

After Care Services

Pastoral Care services

Conveying of Death messages

Funerals

Home visits

Community

Awareness raising on Police Safety

matters

Partnerships (FBO, NGO, NPO)

Family After Care Services

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EHW PROACTIVE PROGRAMME

AWARENESS

Health and wellness trends

Calendar event

Organizational Processes - Retirement,

Referrals etc.

Health Risks

Financial Management

Station lectures

EHW DESKS

To empower employees with

information, skills and resources

Personal Financial

Management Desk

Family and Relationship Desk

Substance Abuse

THEME EVENTS

Wellness Screenings

HIV/AIDS Day

National Prayer Day

Substance Abuse Indaba

Mental Health Week

Women’s Day celebrations

Police Appreciation days

RELIGIOUS EVENTS

Sunday services to trainees

Easter Celebrations

National Prayer Day

Ramadan

Festive Season visits

Pastoral Care

MULTI- DISCIPLINARY INTEGRATED

SERVICES

Suicide Prevention

VCT (Volunteers Counseling &

Testing)

Trauma Centre

Disability Awareness/Care

Programmes

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Thank You!

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